Wisdom teeth removal cost per tooth
The deeper a wisdom tooth sits, the more it costs to remove: an erupted tooth that comes out in one piece is the cheapest, and a tooth fully covered by bone is the most expensive, because the surgeon has to open the gum, remove bone and often cut the tooth into sections. Dental offices bill each case under a different procedure code, and average fees in FAIR Health claims data rise from simple extraction to surgical extraction to full bony impaction.[1]
| How the tooth sits | Code | Low | Typical | High |
|---|---|---|---|---|
| Erupted, comes out whole (simple) | D7140 | $150 | $240 | $350 |
| Erupted, needs surgery (gum flap or sectioning) | D7210 | $280 | $400 | $560 |
| Impacted, covered by gum only | D7220 | $290 | $450 | $640 |
| Impacted, partly in bone | D7230 | $360 | $580 | $810 |
| Impacted, fully in bone | D7240 | $480 | $710 | $1,000 |
The figures start from 2014 FAIR Health averages of $268 for a surgical extraction and $476 for a full bony impaction, brought to 2026 dollars with the Bureau of Labor Statistics dental price index.[1][5] Your dentist decides the code from the X-ray, so ask which one applies to each tooth before you compare quotes.
Cost of wisdom teeth extraction without insurance, all four
Removing all four wisdom teeth usually costs $2,450–$5,300 without insurance when two are partly and two fully in bone and you have IV sedation. The total depends far more on how impacted the teeth are and on the sedation than on the number of visits.
| Case | Low | Typical | High |
|---|---|---|---|
| 4 erupted teeth, simple, local anesthetic, no consult | $600 | $940 | $1,400 |
| 1 tooth partly in bone, local anesthetic, with consult and panoramic X-ray | $530 | $850 | $1,200 |
| 4 teeth impacted in gum only, nitrous oxide, with consult | $1,400 | $2,200 | $3,100 |
| 2 partly in bone + 2 fully in bone, IV sedation (about 45 minutes) | $2,450 | $3,750 | $5,300 |
| 4 fully in bone, IV sedation (about 60 minutes) | $2,850 | $4,300 | $6,100 |
Two published checks land in the same range. In 2009 Virginia dental claims, the median charge for two bony impacted molars with 30 minutes of general anesthesia was $1,184, about $2,000 in 2026 dollars.[2][5] In federal survey data for 2024, people who paid the whole bill themselves for an extraction or oral surgery visit paid a median of $600 per visit; one visit in four cost $1,200 or more and one in ten $3,000 or more.[3]
Sedation, the consult and other add-ons
Sedation is the biggest add-on: IV sedation adds roughly $930 at typical fees for 45 minutes, while local anesthetic is included in the extraction fee. The table shows the pieces our estimator adds; the VA's 2026 schedule of reasonable dental charges lists the 80th-percentile U.S. charge for these codes (about $552 for a soft-tissue impaction, $703 for a partial bony one, $406 for the first 15 minutes of IV sedation and $361 for each extra 15), and our ranges scale those figures to typical fees the same way our sourced codes compare with them.[4]
| Item | Code | Typical | Notes |
|---|---|---|---|
| Problem-focused exam | D0140 | $110 | Often at a separate consult visit |
| Panoramic X-ray | D0330 | $155 | Shows how each tooth sits; a 3D scan costs more |
| Nitrous oxide | D9230 | $115 | Per visit; you can usually drive afterward |
| IV sedation, first 15 minutes | D9239 | $330 | You need someone to drive you home |
| IV sedation, each extra 15 minutes | D9243 | $300 | Four teeth often take 30–60 minutes |
Ask whether the quote includes the follow-up visit and any prescriptions. A bone graft in the empty socket, a cone-beam 3D scan or general anesthesia in a hospital are billed separately; for a single erupted molar, the tooth extraction cost page has simpler numbers.
What changes the price of wisdom tooth extraction
| Factor | Effect on price | Why |
|---|---|---|
| Depth of impaction | Full bony costs about 3× a simple extraction | More bone removal and sectioning |
| Number of teeth | Roughly proportional | Each tooth is billed under its own code |
| Sedation | Nitrous about $115; IV adds several hundred dollars | Billed per visit or per 15 minutes |
| Oral surgeon vs general dentist | Specialist often higher | Harder cases and IV sedation are usually referred |
| Your area | Lower in rural states, higher in big metros | The estimator applies your area's factor |
| Age | Older patients can need more surgery | Roots are longer and bone is denser |
Ways to pay less for wisdom teeth removal
- Try a dental school or residency clinic. The ADA notes that dental school clinics may offer care at reduced rates, and licensed dentists supervise the students.[6][7] See sliding scale dentists and dental schools.
- Get a written estimate with codes for every tooth and the sedation. Uninsured patients have a right to a good faith estimate before scheduled care.[9]
- Ask whether local anesthetic or nitrous is enough for erupted or soft-tissue cases; IV sedation is the largest optional line.
- Pay with HSA or FSA money. Extractions are a qualified medical expense,[10] so pre-tax dollars cut the cost by your tax rate: see how much an FSA saves.
- Check Medicaid if your income is low. Most states now cover more than emergency dental care for adults; in 2025, 38 states and DC had enhanced adult dental benefits.[8]
- Spread the rest with an interest-free office plan rather than a deferred-interest card: compare them with the dental payment plan calculator.
Common mistakes when comparing quotes.Comparing a quote for simple extractions with one for bony impactions; forgetting the sedation and consult lines; and paying for all four teeth when your dentist only recommends removing some. Which teeth need to come out is a clinical decision, so ask your dentist; this site compares prices only.
Frequently asked questions
What is the price of wisdom tooth extraction without insurance?
About $150–$350 per tooth for a simple extraction, $280–$560 for a surgical extraction and $360–$1,000 for an impacted tooth, at national self-pay prices in 2026 dollars. Sedation and the exam are extra.
How much are wisdom teeth removal costs for all four with sedation?
Typically $2,450–$5,300 with IV sedation for four impacted teeth, around $3,750. Four erupted teeth taken out with local anesthetic cost far less, about $940.
Is wisdom tooth removal cheaper at a dental school?
Often, though appointments take longer. The ADA says many school clinics limit charges to the cost of materials and equipment.[6] Complex impactions may be done by oral surgery residents rather than students.
Can I use an FSA or HSA for wisdom teeth removal?
Yes. The IRS lists extractions among dental expenses you can include as medical care,[10] so HSA and FSA money can pay for them. See FSA and HSA for dental work.
Sources
- Trends in Fees and Reimbursement Rates for the Most Common Procedures in Endodontics, Periodontics, Prosthodontics, and Oral Surgery
- What costs are associated with the management of third molars? (Koumaras)
- MEPS HC-254B: 2024 Dental Visits public-use file
- Reasonable Charges v5.26, Table I: Outpatient Dental Professional Nationwide Charges (80th percentile of charges; FAIR Health dental data and other sources)
- Consumer Price Index, dental services, U.S. city average (series CUUR0000SEMC02)
- Places to Look for Affordable Dental Care
- Finding Dental Care
- Dental Care in Medicaid Programs (with data tables)
- Good faith estimate guide (No Surprises Act, uninsured and self-pay patients)
- Publication 502: Medical and Dental Expenses